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But the response from the Department of Health and Social Care (DHSC) failed to directly respond to the specific suggestion.

The DHSC instead said that it was ‘exploring’ how general practice can move to new models, in cooperation with NHS England and the profession, and as highlighted in the GP Forward View.

It said ‘two really positive examples’ of such new models were the MCP and PACS models for integrating specialist and community care.

The DHSC said: ‘The Government recognises the incredibly positive and fundamental contribution that general practice makes within the NHS, including the significant benefits to local communities that GP practices across the country provide.’

The committee’s report had criticised successive governments for failure to plan to sustain the NHS in the long term, requesting that an 'Office for Health and Care Sustainability' was established to look 15-20 years into the future.

But the DHSC said: ‘The Government is deeply committed to the long-term sustainability of the NHS and has put in place steps to ensure the health and care system is well placed to prepare for the future.’

The Lords committee had also asked the Government to review its stance on NHS pay restraint and its effect on morale and retention.

To which the DHSC said it had now liftd the ‘across-the-board 1% public sector pay policy’, adding that it ‘recognises that for some public sector workforces greater pay flexibility in return for improved productivity may be needed to address recruitment and retention problems’.

Government will never make GP service completely salaried under their direct control, because they know GP Partnership delivers same service at much lower cost. If all GPs go salaried and work as per their contracted hours then they will need lot more salaried GP to do the same work.

The government wants control of professionals down to the microscopic level. What you can prescribe, refer or what sutures you use. Even a plumber has more freedom in the choice of wrenches to use. This is bad for patients and doctors.

So...The DOH slowly strangle partnerships to the point of collapse, with the hidden agenda of an all salaried service, but are desperate the public aren’t informed. The Lords see the crisis coming, and suggest that the DOH consider an all salaried service to save Primary Care. The DOH, struggling to keep a straight face, reply that they are fully supporting partnerships.GP partners attack the Lords for their suggestion, leaving the DOH off the hook.And so the great GMS partnership purge continues, in silence, and off the front pages.Jeremy plays another blinder.